title: Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case report.
abstract: BACKGROUND
  This case report describes an esophagojejunal anastomotic leak following total gastrectomy for gastric cancer. The leak was treated successfully with endoscopic application of n-butyl-2-cyanoacrylate. This is the first case report on the endoscopic application of cyanoacrylate alone for the treatment of an anastomotic leak.
  
  
  METHODS
  This report describes a case of a 68-year-old Caucasian man who underwent surgery for gastric cancer. He underwent total gastrectomy and esophagojejunal anastomosis with Roux-en-Y anastomosis plus transverse colectomy. An anastomotic leak was treated conservatively at first for a total of three weeks. However, the leak persisted; therefore, the decision was made to apply topical endoscopic n-butyl-2-cyanoacrylate.
  
  
  CONCLUSIONS
  The endoscopic application of n-butyl-2-cyanoacrylate alone can be used successfully to treat esophagojejunal anastomotic leakage.
authors.affiliation: 4th Surgical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. georgiosvrakas@gmail.com.
authors.forename: Manousos-Georgios
authors.initials: MG
authors.lastname: Pramateftakis
authors.forename: Georgios
authors.initials: G
authors.lastname: Vrakas
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kanellos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Mantzoros
authors.forename: Stamatis
authors.initials: S
authors.lastname: Angelopoulos
authors.forename: Efthymios
authors.initials: E
authors.lastname: Eleftheriades
authors.forename: Charalampos
authors.initials: C
authors.lastname: Lazarides